I know my point of view is jaded by having had so many problems myself as a child, but I think you should swallow it and say "I love you." This child has a ton on his plate--look at all those diagnoses. I'm not saying he's not hurting you, but I AM saying that he's not stable or well yet, and probably has little control over what he does. I know it's not a popular opinion, but not many people here actually WERE the child who was out of control. It's a scary feeling to have your moods pulled in every direction against your will and you do things that you don't want to do, and then everyone thinks you're a bad kid. in my opinion you can't teach him how to behave until he's stable. He KNOWS how to behave and he CAN'T do it right now. If he's already alone in the morning, having to get himself off to school, I don't see why a fast call saying, "I love you," will be...what? Giving in? He's your kid, and you love him. Heck, make a fast call and tell him. I could have used more of those--I think it would have made me like myself better as I sought out help as an adult. Your son has some serious disorders and, once he is stable, he won't behave this way, but he obviously isn't stable yet. Maybe he needs a medication evaluation or a fresh perspective on his problems by another psychiatrist. It won't kill him if you don't call him today, but it may really cheer him up if you do. Kids don't feel all right about themselves after acting out. And I know you're feelings are hurt, but, in my opinion, it's not a good idea to take things too personally with a sick kid, and, at any rate, in my opinion again, you're the adult and he's the kid. I don't see this as a big issue, but, over the long term, it's easy to forget that you have a sick child and to be abused by a "bad" child, and that's what happened to me. It doesn't help a sick child stay together if he thinks he's bad. I know there will be a lot of disagreement, but I thought I'd state my view from an adult who was THAT kid. No, I wasn't as constantly nasty as some kids here (probably not as sick), but I had my moments. Hugs, and I wish the best for you.